Senior Manager / AVP / VP - Retention, Health & Benefits

This job is with WTW, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly.

Description

Clients :

1. Relationship Management

2. Maintain TAT for all assignments

3. Maintain healthy relationship with insurance companies and TPA

4. Ensure Proper and Systematic documentation (folder management)

5. Claims Management (GPA and GTL claims Tracker, GMC Outstanding claims tracker)

• 100% adherence to the service design for clients as per the service design identified as below : -.
• Renewal activity (Intimation+calendar, Plan design + QCR etc., policy placement
• Monthly activity report to clients + Claims MIS + Claims UR + Health & Wellness letters + HR Connect
• Maintaining strong vendor relationships - Client, Insurer & TPA
• Client meetings with MOM being mandatory, (Monthly meetings compulsory for all clients with revenue above Rs 3 Lacs & for other clients quarterly ones)
• Minimize client escalations to be received - Maximum 3 per year
• Client Records Management (Premium register, Data recon, CD statement etc.)
• Monitoring claims TAT as per laid out standards (3% above 25 days)
• Communication Initiatives (Benefits Manual, Mail communication to the client, TPA & Insurer on the renewal is mandatory including orientation sessions
• Execute wellness program for clients as per laid out standards i.e. Wellness calendar-Health talks & Camps-(For all clients above Rs 3 lacs revenue)

Financials / Business KPIs

Operational Excellence and Innovation

Qualifications

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